Individual
DR. GWYN GORDON MCGUTCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3681 SPIVEY ST., LORIS, SC 29569
(843) 756-5747
(843) 756-5749
Mailing address
P.O. BOX 220, 3681 SPIVEY STEET,, LORIS, SC 29569
(843) 756-5747
(843) 756-5749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1597
SC
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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